-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, KglJSgECHTBz4gogk5x+6Ts3Shumgikhb2Ma2OYJo5vjlxWH4TAoj7b2DoTXjxM8 fn0zcGRVDaafT1Vdh4Gxfg== 0001181431-05-040200.txt : 20050713 0001181431-05-040200.hdr.sgml : 20050713 20050713213604 ACCESSION NUMBER: 0001181431-05-040200 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20050711 FILED AS OF DATE: 20050713 DATE AS OF CHANGE: 20050713 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Whitebox Diversified Convertible Arbitrage Fund, Ltd. CENTRAL INDEX KEY: 0001317594 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14681 FILM NUMBER: 05953409 BUSINESS ADDRESS: STREET 1: 3033 EXCELSIOR BOULEVARD STREET 2: SUITE 300 CITY: MINNEAPOLIS STATE: MN ZIP: 55416 BUSINESS PHONE: 612-253-6000 MAIL ADDRESS: STREET 1: 3033 EXCELSIOR BOULEVARD STREET 2: SUITE 300 CITY: MINNEAPOLIS STATE: MN ZIP: 55416 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WHITEBOX ADVISORS LLC CENTRAL INDEX KEY: 0001257391 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14681 FILM NUMBER: 05953412 BUSINESS ADDRESS: STREET 1: 3033 EXCELSIOR BLVD. CITY: MINNEAPOLIS STATE: MN ZIP: 55416 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Whitebox Convertible Arbitrage Advisors, LLC CENTRAL INDEX KEY: 0001311160 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14681 FILM NUMBER: 05953413 BUSINESS ADDRESS: STREET 1: 3033 EXCELSIOR BOULEVARD STREET 2: SUITE 300 CITY: MINNEAPOLIS STATE: MN ZIP: 55416 BUSINESS PHONE: 612-253-6001 MAIL ADDRESS: STREET 1: 3033 EXCELSIOR BOULEVARD STREET 2: SUITE 300 CITY: MINNEAPOLIS STATE: MN ZIP: 55416 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PANDORA SELECT FUND LTD CENTRAL INDEX KEY: 0001263713 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14681 FILM NUMBER: 05953414 BUSINESS ADDRESS: STREET 1: 3033 EXCELSIOR BLVD STREET 2: SUITE 300 CITY: MINNEAPOLIS STATE: MN ZIP: 55416 BUSINESS PHONE: 6122536025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pandora Select Fund, L.P. CENTRAL INDEX KEY: 0001307360 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14681 FILM NUMBER: 05953415 BUSINESS ADDRESS: STREET 1: 3033 EXCELSIOR BOULEVARD STREET 2: SUITE 300 CITY: MINNEAPOLIS STATE: MN ZIP: 55416 BUSINESS PHONE: (612) 253-6001 MAIL ADDRESS: STREET 1: 3033 EXCELSIOR BOULEVARD STREET 2: SUITE 300 CITY: MINNEAPOLIS STATE: MN ZIP: 55416 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pandora Select Partners, L.P. CENTRAL INDEX KEY: 0001311923 STATE OF INCORPORATION: D8 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14681 FILM NUMBER: 05953416 BUSINESS ADDRESS: STREET 1: 3033 EXCELSIOR BOULEVARD STREET 2: SUITE 300 CITY: MINNEAPOLIS STATE: MN ZIP: 55416 BUSINESS PHONE: 612-253-6001 MAIL ADDRESS: STREET 1: 3033 EXCELSIOR BOULEVARD STREET 2: SUITE 300 CITY: MINNEAPOLIS STATE: MN ZIP: 55416 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PENN TREATY AMERICAN CORP CENTRAL INDEX KEY: 0000814181 STANDARD INDUSTRIAL CLASSIFICATION: ACCIDENT & HEALTH INSURANCE [6321] IRS NUMBER: 231664166 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3440 LEHIGH ST CITY: ALLENTOWN STATE: PA ZIP: 18103 BUSINESS PHONE: 6109652222 MAIL ADDRESS: STREET 1: 3440 LEHIGH ST CITY: ALLENTOWN STATE: PA ZIP: 18103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Whitebox Diversified Convertible Arbitrage Partners, L.P. CENTRAL INDEX KEY: 0001317592 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14681 FILM NUMBER: 05953411 BUSINESS ADDRESS: STREET 1: 3033 EXCELSIOR BOULEVARD STREET 2: SUITE 300 CITY: MINNEAPOLIS STATE: MN ZIP: 55416 BUSINESS PHONE: 612-253-6000 MAIL ADDRESS: STREET 1: 3033 EXCELSIOR BOULEVARD STREET 2: SUITE 300 CITY: MINNEAPOLIS STATE: MN ZIP: 55416 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pandora Select Advisors, LLC CENTRAL INDEX KEY: 0001307361 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14681 FILM NUMBER: 05953408 BUSINESS ADDRESS: STREET 1: 3033 EXCELSIOR BOULEVARD STREET 2: SUITE 300 CITY: MINNEAPOLIS STATE: MN ZIP: 55416 BUSINESS PHONE: (612) 253-6001 MAIL ADDRESS: STREET 1: 3033 EXCELSIOR BOULEVARD STREET 2: SUITE 300 CITY: MINNEAPOLIS STATE: MN ZIP: 55416 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Whitebox Diversified Convertible Arbitrage Fund, L.P. CENTRAL INDEX KEY: 0001317593 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14681 FILM NUMBER: 05953410 BUSINESS ADDRESS: STREET 1: 3033 EXCELSIOR BOULEVARD STREET 2: SUITE 300 CITY: MINNEAPOLIS STATE: MN ZIP: 55416 BUSINESS PHONE: 612-253-6000 MAIL ADDRESS: STREET 1: 3033 EXCELSIOR BOULEVARD STREET 2: SUITE 300 CITY: MINNEAPOLIS STATE: MN ZIP: 55416 4 1 rrd85757.xml FORM 4 X0202 4 2005-07-11 0 0000814181 PENN TREATY AMERICAN CORP PTA 0001257391 WHITEBOX ADVISORS LLC 3033 EXCELSIOR BOULEVARD, SUITE 300 MINNEAPOLIS MN 55416 0 0 1 0 0001317592 Whitebox Diversified Convertible Arbitrage Partners, L.P. 3033 EXCELSIOR BOULEVARD, SUITE 300 MINNEAPOLIS MN 55416 0 0 1 0 0001317593 Whitebox Diversified Convertible Arbitrage Fund, L.P. 3033 EXCELSIOR BOULEVARD, SUITE 300 MINNEAPOLIS MN 55416 0 0 1 0 0001317594 Whitebox Diversified Convertible Arbitrage Fund, Ltd. 3033 EXCELSIOR BOULEVARD, SUITE 300 MINNEAPOLIS MN 55416 0 0 1 0 0001307361 Pandora Select Advisors, LLC 3033 EXCELSIOR BOULEVARD, SUITE 300 MINNEAPOLIS MN 55416 0 0 1 0 0001311923 Pandora Select Partners, L.P. 3033 EXCELSIOR BOULEVARD, SUITE 300 MINNEAPOLIS MN 55416 0 0 1 0 0001307360 Pandora Select Fund, L.P. 3033 EXCELSIOR BOULEVARD, SUITE 300 MINNEAPOLIS MN 55416 0 0 1 0 0001263713 PANDORA SELECT FUND LTD 3033 EXCELSIOR BOULEVARD, SUITE 300 MINNEAPOLIS MN 55416 0 0 1 0 0001311160 Whitebox Convertible Arbitrage Advisors, LLC 3033 EXCELSIOR BOULEVARD, SUITE 300 MINNEAPOLIS MN 55416 0 0 1 0 Common Stock 2005-07-11 4 S 0 200 9.80 D 504.25 I Refer to Footnote Common Stock 2005-07-12 4 S 0 1000 9.99 D 504.25 I Refer to Footnote Common Stock 2005-07-12 4 S 0 1000 9.99 D 504.25 I Refer to Footnote Common Stock 2005-07-12 4 S 0 700 9.99 D 504.25 I Refer to Footnote Reporting Person is Whitebox Convertible Arbitrage Partners, L.P. ("WCAP"). Reporting Person is Whitebox Hedged High Yield Partners, L.P. ("WHHYP"). Reporting Person is Pandora Select Partners, L.P. ("PSP"). Reporting Person is Whitebox Advisors, LLC. This amount reflects a four for one reverse stock split of shares of common stock of the Issuer, effective July 8, 2005. Each of WCAP, WHHYP, WDCAP, PSP and Whitebox Advisors, LLC beneficially own Convertible Subordinated Notes of which the Common Stock of Penn Treaty American Corporation is the underlying security. The general partner of WCAP, is Whitebox Convertible Arbitrage Advisors, LLC ("WCAA"), which manages accounts for the benefit of its clients WCAP, Whitebox Convertible Arbitrage Fund, L.P. ("WCAFLP") and Whitebox Convertible Arbitrage Fund, Ltd. ("WCAFLTD"); the general partner of WHHYP is Whitebox Hedged High Yield Advisors, LLC ("WHHYA"), which manages accounts for the benefit of its clients WHHYP, Whitebox Hedged High Yield Fund, L.P. ("WHYYFLP") and Whitebox Hedged High Yield Fund, Ltd. ("WHHYFLTD"). The managing member and controlling owner of each of WCAA, WHHYA and WIA is Whitebox Advisors, LLC. (Cont. in footnote 7) The general partner of PSP is Pandora Select Advisors, LLC ("PSA"), which manages accounts for the benefit of its clients PSP, Pandora Select Fund, L.P. ("PSFLP") and Pandora Select Fund, Ltd. ("PSFLTD"). The general partner of WDCAP is Whitebox Diversified Convertible Arbitrage Advisors, LLC ("WDCAA"), which manages accounts for the benefit of its clients WDCAP Whitebox Diversified Convertible Arbitrage Fund, L.P. ("WDCAFLP") and Whitebox Diversified Convertible Arbitrage Fund, Ltd. ("WDCAFLTD"). The managing member and controlling owner of each of PSA and WDCAA is AJR Financial, LLC. Whitebox Advisors, LLC and AJR Financial, LLC each have the same sole owner and managing member. (Cont. in footnote 8) Based on the relationships described herein, these entities may be deemed to constitute a "group" within the meaning of Rule 13d-5(b)(1) under the Securities Exchange Act of 1934. The filing of this statement shall not be construed as an admission that Whitebox Advisors, LLC, AJR Financial, LLC, WCCA, WHHYA, PSA, WDCAA, WCAP, WHHYP, PSP, WDCAP, WCAFLP, WHHYFLP, PSFLP, WDCAFLP, WCAFLTD, WHHYFLTD, PSFLTD and WDCAFLTD are a group, or have agreed to act as a group. Whitebox Advisors, LLC, AJR Financial, LLC, WCCA, WHHYA, PSA, WDCAA, WCAP, WHHYP, PSP, WDCAP, WCAFLP, WHHYFLP, PSFLP, WDCAFLP, WCAFLTD, WHHYFLTD, PSFLTD and WDCAFLTD each disclaim beneficial ownership of such shares of common stock except to the extent of their pecuniary interest in such shares. For additional information also refer to the Form 4 filed concurrently herewith by the Reporting Persons. /s/ Jonathan D. Wood, Chief Financial Officer 2005-07-13 Whitebox Diversified Convertible Advisors, LLC 2005-07-13 Whitebox Diversified Convertible Arbitrage Partners, LP 2005-07-13 Whitebox Diversified Convertible Arbitrage Fund, L.P. 2005-07-13 Whitebox Diversified Convertible Arbitrage Fund, Ltd. 2005-07-13 Pandora Select Advisors, LLC 2005-07-13 Pandora Select Partners, L.P. 2005-07-13 Pandora Select Fund, L.P. 2005-07-13 Pandora Select Fund, Ltd. 2005-07-13 EX-99. 2 rrd73648_82873.htm JOINT FILER INFORMATION rrd73648_82873.html 


Exhibit 99 to Form 4

1.	Name and Address of Reporting Person*
Whitebox Convertible Arbitrage Advisors, LLC
	(Last)	(First)	(Middle)
3033 Excelsior Boulevard, Suite 300
		(Street)
Minneapolis	MN	55416
	(City)	(State)	(Zip)

1.	Name and Address of Reporting Person*
Whitebox Convertible Arbitrage Partners, LP
	(Last)	(First)	(Middle)
3033 Excelsior Boulevard, Suite 300
		(Street)
Minneapolis	MN	55416
(City)	(State)	(Zip)

1.	Name and Address of Reporting Person*
Whitebox Convertible Arbitrage Fund, L.P.
	(Last)	(First)	(Middle)
3033 Excelsior Boulevard, Suite 300
		(Street)
Minneapolis	MN	55416
	(City)	(State)	(Zip)
1.	Name and Address of Reporting Person*
Whitebox Convertible Arbitrage Fund, Ltd.
	(Last)	(First)	(Middle)
3033 Excelsior Boulevard, Suite 300
		(Street)
Minneapolis	MN	55416
	(City)	(State)	(Zip)

1.	Name and Address of Reporting Person*
Whitebox Hedged High Yield Advisors, LLC
	(Last)	(First)	(Middle)
3033 Excelsior Boulevard, Suite 300
		(Street)
Minneapolis	MN	55416
	(City)	(State)	(Zip)

1.	Name and Address of Reporting Person*
Whitebox Hedged High Yield Partners, LP
	(Last)	(First)	(Middle)
3033 Excelsior Boulevard, Suite 300
		(Street)
Minneapolis	MN	55416
	(City)	(State)	(Zip)

1.	Name and Address of Reporting Person*
Whitebox Hedged High Yield Fund, L.P.
	(Last)	(First)	(Middle)
3033 Excelsior Boulevard, Suite 300
		(Street)
Minneapolis	MN	55416
	(City)	(State)	(Zip)

1.	Name and Address of Reporting Person*
Whitebox Hedged High Yield Fund, Ltd.
	(Last)	(First)	(Middle)
3033 Excelsior Boulevard, Suite 300
		(Street)
Minneapolis	MN	55416
	(City)	(State)	(Zip)

1.	Name and Address of Reporting Person*
AJR Financial, LLC
	(Last)	(First)	(Middle)
3033 Excelsior Boulevard, Suite 300
		(Street)
Minneapolis	MN	55416
	(City)	(State)	(Zip)

1.	Name and Address of Reporting Person*
Whitebox Diversified Convertible Advisors, LLC
	(Last)	(First)	(Middle)
3033 Excelsior Boulevard, Suite 300
		(Street)
Minneapolis	MN	55416
	(City)	(State)	(Zip)

1.	Name and Address of Reporting Person*
Whitebox Diversified Convertible Arbitrage Partners, LP
	(Last)	(First)	(Middle)
3033 Excelsior Boulevard, Suite 300
		(Street)
Minneapolis	MN	55416
	(City)	(State)	(Zip)

1.	Name and Address of Reporting Person*
Whitebox Diversified Convertible Arbitrage Fund, L.P.
	(Last)	(First)	(Middle)
3033 Excelsior Boulevard, Suite 300
		(Street)
Minneapolis	MN	55416
	(City)	(State)	(Zip)

1.	Name and Address of Reporting Person*
Whitebox Diversified Convertible Arbitrage Fund, Ltd.
	(Last)	(First)	(Middle)
3033 Excelsior Boulevard, Suite 300
		(Street)
Minneapolis	MN	55416
	(City)	(State)	(Zip)

1.	Name and Address of Reporting Person*
Pandora Select Advisors, LLC
	(Last)	(First)	(Middle)
3033 Excelsior Boulevard, Suite 300
		(Street)
Minneapolis	MN	55416
	(City)	(State)	(Zip)

1.	Name and Address of Reporting Person*
Pandora Select Partners, L.P.
	(Last)	(First)	(Middle)
3033 Excelsior Boulevard, Suite 300
		(Street)
Minneapolis	MN	55416
	(City)	(State)	(Zip)

1.	Name and Address of Reporting Person*
Pandora Select Fund, L.P.
	(Last)	(First)	(Middle)
3033 Excelsior Boulevard, Suite 300
		(Street)
Minneapolis	MN	55416
	(City)	(State)	(Zip)

1.	Name and Address of Reporting Person*
Pandora Select Fund, Ltd.
	(Last)	(First)	(Middle)
3033 Excelsior Boulevard, Suite 300
		(Street)
Minneapolis	MN	55416
	(City)	(State)	(Zip)
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